1619098233 NPI number — C&K SOLUTIONS, INC

Table of content: (NPI 1619098233)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619098233 NPI number — C&K SOLUTIONS, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
C&K SOLUTIONS, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619098233
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
106 WOODLAND DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COATESVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19320-1128
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-857-3242
Provider Business Mailing Address Fax Number:
610-857-3242

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
106 WOODLAND DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COATESVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19320-1128
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-857-3242
Provider Business Practice Location Address Fax Number:
610-857-3242
Provider Enumeration Date:
04/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
FROST
Authorized Official First Name:
KATHLEEN
Authorized Official Middle Name:
O
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
610-857-3242

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 320900000X , with the licence number: 100180 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 347C00000X , with the licence number: 19867806 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1010083380003 . This is a "WOODLAND FLP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1010083380013 . This is a "TRANSPORTATION" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1010083380002 . This is a "HOME AND COMMUNITY HAB" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1010083380006 . This is a "COACH FLP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1010083380012 . This is a "RIDGEVIEW FLP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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